JP6714960B2 - Endoscope holding member, endoscope holding method, cart having the same, cleaning sink, cleaning/disinfecting apparatus, stand, and endoscope storage - Google Patents

Description

The present invention relates to a scope hanger for holding an endoscope, an endoscope holding method, and a cart, a cleaning sink, a cleaning/disinfecting apparatus, a stand and an endoscope storage having the same.

When an endoscope (scope) is used for examination or treatment, if an endoscope holding stand that can hold the endoscope is available, the doctor's hands are free and when using radiation for examination or treatment. It is expected to have conveniences such as being able to prevent doctors from being exposed to radiation, being able to perform prompt treatment in an emergency, being able to adjust the equipment used for examinations and treatments, and being able to rest the hands of a doctor who is exhausted due to long-term treatment. it can. As an invention of such an endoscope holding base, there is Patent Document 1 and the like, but as compared with when the doctor holds the endoscope holding base, the endoscope is rotated 120 degrees counterclockwise when viewed from above, It may cause pain to the patient because it is held vertically when viewed from above, that the assistant must be peeled off and held by the assistant and operated by both doctors' hands, and the endoscope can be held by the assistant However, there was a problem in that the holding height was not constant due to the difference in the physique of the assistant.

Therefore, it has been desired to develop a holding member that can hold an endoscope without causing pain to a patient and a cart having the holding member.

JP, 2009-183358, A

(EN) Provided are an endoscope holding member (scope hanger) which a doctor can freely use without causing pain to a patient, and a cart, a washing sink, a washing/disinfecting apparatus, a stand and an endoscope storage having the same.

(1) has a polygon and/or an ellipse (including a perfect circle) or a mixture thereof,
Characterized by having at least one hole capable of holding the endoscope at an oblique angle,
Endoscope holding member (scope hanger).

(2) has a polygonal shape and/or an elliptical shape (including a perfect circle) or a mixture thereof,
Has at least two holes that can hold an endoscope,
The first hole can hold the endoscope vertically,
The second hole can hold the endoscope at an oblique angle,
The endoscope holding member according to (1), characterized in that.

(3) Thickness of 1 cm to 5 cm, length of 8 cm to 15 cm, width of 20 cm to 30 cm, rectangular parallelepiped, thickness of 1 cm to 5 cm, major axis of 20 cm to 30 cm, minor axis of 8 cm to 15 cm, or polygon corresponding to these sizes. And/or an oval shape (including a perfect circle), or a mixed shape thereof, The endoscope holding member according to (1) or (2).

(4) The endoscope holding member according to any one of (1) to (3), wherein the oblique angle is 20 degrees to 80 degrees.

(5) The endoscope holding member according to any one of (1) to (4), wherein the number of holes that can hold the endoscope is 4 or more and 24 or less.

(6) The insertion length of the endoscope and the position of the patient can be changed simply by rotating the support unit at the height of the upper end of the support unit, which has been set in advance by the doctor. The endoscope holding member according to any one of (1) to (5).
(7) The endoscope holding member according to any one of (1) to (5), which is capable of holding a plurality of different types of endoscopes.

(8) The endoscope holding member according to any one of (1) to (7),
A cart having a support portion that supports a holding member rotatably in a horizontal direction and a support body that is vertically movable, and means for fixing the support portion.
(9) The cart according to claim 7, which has two or more holding members according to any one of (1) to (7).

(10) The cart according to (8) or (9), which has the support portion at the right corner of the front surface.
(11) A method of holding an endoscope using the cart according to any one of (8) to (10).
(12) A cleaning sink, a cleaning/disinfecting apparatus, a stand, or an endoscope storage having the holding member according to any one of (1) to (7).
(13) The cleaning sink, the cleaning/disinfecting device, the stand, or the endoscope storage of (12), in which the holding member is rotatably supported.

(14) A method of holding an endoscope using the cleaning sink, the cleaning/disinfecting apparatus, the stand or the endoscope storage as described in (12) or (13).
(15) The method according to (14), wherein the endoscope is a plurality of different types of endoscopes.
(16) A method of stably holding an endoscope using the endoscope holding member according to (1) to (7).
(17) The hardness adjusting ring is passed through the hole on the back side of the endoscope holding member in the up-down direction, and then the endoscope is moved to and held in the hole in the foreground. the method of.
(18) The method according to (16) or (17), characterized in that, when the endoscope is held at an oblique angle, it is supported at one point on the lower surface of the endoscope and at two points on the upper side surface.

According to the present invention, when an endoscope is used, the degree of freedom of the doctor can be dramatically increased without causing pain to the patient.

FIG. 1 shows a state in which a colonoscope is inserted into a patient and the endoscope operation unit is held at an oblique angle on a scope hanger at the same height as when a doctor holds it. It is a top view. FIG. 2 is a front view and a side view showing the configurations of the cart and the scope hanger. FIG. 3 is a plan view showing a method of determining the shape of the tip portion of the scope hanger. FIG. 4 is a perspective view showing the configuration of the distal end portion of the scope hanger. FIG. 5 is a plan view, a cross-sectional view, and a bottom view showing the configuration of the tip portion of the scope hanger. FIG. 6 is an image diagram showing a state in which the endoscope operation portion of the Pentax colonoscope is held at an oblique angle (left) or vertically (right) on one of the distal ends of the scope hanger. .. FIG. 7 is an image diagram showing a state in which the endoscope operation portion of the Olympus colonoscope is held at an oblique angle (left) or vertically (right) on the other end of the scope hanger. is there. FIG. 8 shows that when the endoscope operation part of the colonoscope is held at an oblique angle and the insertion of the endoscope is shallow, the scope hanger tip is rotated vertically (left). FIG. 9 is a plan view showing a state (right) in which the distal end of the scope hanger rotates so as to be inclined when the endoscope is deeply inserted. FIG. 9 shows that, when the endoscope operation section of the colonoscope is held at an oblique angle and the patient's position is displaced to the head side, the scope hanger tip is rotated so as to be oblique ( FIG. 6B is a plan view showing a state in which the distal end of the scope hanger rotates so as to be vertical (right) when the position of the patient is displaced to the foot side. FIG. 10: is a top view which shows the method of making the scope hanger hold|maintain the endoscope operation part of a colonoscope at an oblique angle. FIG. 11 is a plan view showing a method of vertically holding the endoscope operation section on the scope hanger after using the endoscope. FIG. 12 is a plan view and a cross-sectional view showing a state in which the endoscope operation section is held at an oblique angle at the same height as when the endoscope technician holds the scope hanger attached to the washing sink. It is a figure. FIG. 13 shows that when the endoscope hanger attached to the washing sink holds the endoscope operation section at an oblique angle, when the endoscope is long, the distal end of the scope hanger rotates so as to be inclined ( FIG. 4B is a plan view showing a state in which the distal end portion of the scope hanger rotates so as to lie down (right) when the endoscope is short. FIG. 14 is a plan view showing a method of holding the endoscope operation section at an oblique angle on the scope hanger attached to the cleaning sink. FIG. 15 is a front view showing a state in which an endoscope operation unit is vertically held by a scope hanger attached to an endoscope storage cabinet. FIG. 16 is a diagram showing a contact portion between the endoscope and the endoscope holding member of the present invention.

The present invention has means for fixing and holding the endoscope at a fixed angle, and supporting means for rotatably supporting the holding means. A holding member having a rectangular parallelepiped shape, a polygonal shape similar to the rectangular shape, an elliptic shape, or a combination thereof can be used as the means that can be fixed and held at a constant angle. The means for fixing and holding the endoscope at a fixed angle may also be a structure such as a clamp, but it is necessary to be able to fix the endoscope so that the angle does not change during holding.

In the present invention, the “endoscope” is a medical device for observing the inside of a living body, which has an optical system built into the main body and has a tip inserted into the living body to view an image inside the living body. What can be done. Examples of endoscopes include gastroscopes, colonoscopes, small intestine endoscopes, gall/pancreatic endoscopes, laryngoscope endoscopes, bronchoscopes, cystoscopes, nephroscopes, and uterus. Examples include, but are not limited to, mirrors, arthroscopes, neuroendoscopes, and the like.

The material of the holding member is not particularly limited as long as it is a material that can stably hold the endoscope, such as wood, plywood, plastic, metal, and rubber.

When the endoscope holding member has a hole, it has at least two types of holes that can be held both vertically and at an oblique angle. If necessary, the two holes may be connected. The area of the endoscope holding member can be reduced by connecting the two holes.

Also, by connecting the two holes, making the hole on the back side (center side) large enough to pass the hardness adjusting ring up and down, and making the hole on the front side (end side) a hole that can hold the endoscope, After passing the hardness adjusting ring through the hole on the back side, it can be moved to the hole on the front side to stably hold the endoscope. In this case, the diameter of the hole on the back side (center side) is preferably 2.0 mm to 3.0 mm larger than the diameter of the hardness adjusting ring. More preferably, the diameter is larger by 2.1 mm to 2.7 mm, more preferably 2.2 mm to 2.4 mm. Further, the length of the boundary portion between the hole on the back side (center side) and the hole on the front side (end side) is preferably 2.0 mm to 2.5 mm larger than the diameter of the endoscope operating portion of Olympus. It is more preferably 2.1 mm to 2.4 mm larger, and even more preferably 2.2 mm to 2.3 mm larger.

The holes of the endoscope holding member may be cut to optimize the angle in the case of wood. In the case of rubber, plastic, etc., they may be integrally molded with a mold or the like, and metal, etc. may be manufactured by a manufacturing method known to those skilled in the art such as pressing. In the case of plastic or the like, it may be manufactured using a three-dimensional printer.

The preferred angle for holding the endoscope is vertical when the endoscope is not in use. In this case, it may not be completely vertical, and an angle of ±5 degrees in the vertical direction is preferable. A more preferable angle is ±3 degrees in the vertical direction, and more preferably ±1 degree in the vertical direction.

When holding the endoscope obliquely during inspection or treatment, the oblique angle is preferably 20 to 80 degrees with respect to the horizontal direction. This angle is the same as the angle at which the doctor holds the endoscope by hand.

In the case of a colonoscope, the oblique angle is preferably 40 to 50 degrees, more preferably 41 to 48 degrees, further preferably 42 to 46 degrees, and most preferably the horizontal direction. It is 43 to 45 degrees.

In the case of a gastroscope, the oblique angle is preferably 40 to 50 degrees, more preferably 42 to 48 degrees, and most preferably 43 to 47 degrees with respect to the horizontal direction.

In the case of a bronchoscope, the oblique angle is preferably 25 to 35 degrees, more preferably 27 to 33 degrees, and most preferably 28 to 32 degrees with respect to the horizontal direction.

In the case of a nephroscope, the oblique angle is preferably 65 to 75 degrees, more preferably 67 to 73 degrees, and most preferably 68 to 72 degrees with respect to the horizontal direction.

When attached to a cart, the endoscope holding member is preferably rotatably supported by a column. Although the rotation is in the horizontal direction, the rotation is not limited to the horizontal direction but may be up to about ±5 degrees in the horizontal direction. By being rotatable, the endoscope can be adjusted so that it can be easily held. That is, when the longer part is inserted, the retention member is rotated closer to it, and when the shorter part is inserted, the retention member is rotated further to the farther position, thereby making the patient The remaining endoscope can be easily held without giving a burden.

In order to delay the fall of the scope hanger, a drip pole with an air damper (for example, manufactured by AS ONE) may be used in the outer cylinder part and/or the inner cylinder part of the scope hanger. In this case, it is preferable to enlarge the air hole at the lower end of the pole to weaken the effect of the air damper. After making a hole in the lower end of the pole with an air damper to weaken the air damper effect, attach a rubber cap to the lower end of the pole to restore the air damper effect to the original, and further add a few millimeters to the rubber cap. A small hole may be formed so that the tip end portion (endoscope holding member) of the scope hanger may have a damper effect of slowly lowering. As a result, when the screw is loosened, it naturally lowers slowly, so that it is not necessary to lower it with the left hand, and there is no fear of a collision due to a rapid drop.

In a preferred embodiment, the columns supporting the endoscope holding member are attached to the cart. More preferably, the right end of the front surface of the cart (left side when facing the front of the cart) is preferable.

The endoscope holding member may be detachable so that it can be removed from the pole and sterilized.

When the endoscope is held, it can be usually held in the center of the endoscope operation section. Further, when holding the Olympus colonoscope, it may be held by a hardness adjusting ring or may be held in the center of the endoscope operation section, but preferably, when holding it diagonally, the hardness It is preferable to hold the adjustment ring and to hold it vertically at the center of the endoscope operation section. When the endoscope is held obliquely, the endoscope can be stably held by supporting at least a total of three points of one point on the lower surface of the endoscope and two points on the upper side surface by the endoscope holding member. (FIG. 16). In the lower left diagram of FIG. 16, the circle portion (lower contact point) of the upper border pattern (hatched portion) of the hole on the end side of the endoscope holding member and the lower surface of the endoscope come into contact with each other. The left and right white elliptical portions (upper contact points) and the upper side surface of the endoscope are in contact and supported. In this case, it is preferable to hold the endoscope with the forceps opening facing upward, but the invention is not limited to this.

According to another aspect of the present invention, a member for holding an endoscope is provided with a cart, a washing sink, a washing/disinfecting apparatus, a stand, and an endoscope storage that are vertically rotatably and rotatably attached. provide. By rotatably attaching the endoscope holding member, cleaning and disinfection and storage become more convenient. However, in the cleaning sink, the cleaning/disinfecting device, the stand, and the endoscope storage, the rotating means is not essential. Further, in the cleaning sink, the cleaning/disinfecting device, the stand, and the endoscope storage, the means for moving up and down is not essential. Furthermore, not all of the endoscope holding member but only a part thereof may be attached.

By using the holding member, the cart, the cleaning sink, the cleaning/disinfecting device, the stand, or the endoscope storage having the above-mentioned configuration, the problems in the conventional endoscope holding are solved, and inspection, treatment, cleaning, disinfection, The convenience of storage and retrieval has been significantly improved.

Further, according to the present invention, one endoscope holding member can vertically and stably hold at least three types of endoscopes of six types.

In the present specification, "stable holding" means that the material can be held in a state where it does not wobble and does not fall.

In the conventional storage, the place to store was determined for each shape of the endoscope, so it was managed by attaching a tag, but by using the endoscope holding member of the present invention, the shape can be stored in the same storage. Since different endoscopes can be stored side by side in the order in which they have been sterilized, it is possible to tell at a glance whether or not they have been sterilized, and it is possible to prevent medical accidents where the undisinfected endoscope is mistakenly used.

Further, by using the endoscope holding member of the present invention for a stand for temporarily holding a disinfected endoscope, the disinfected endoscope can be placed at the same location even if the endoscope has a different shape. Since it can be held at a glance, it is possible to tell at a glance whether or not it has been sterilized, and it is possible to prevent medical accidents that mistakenly use an undisinfected endoscope.

When the Olympus colonoscope is held vertically or at an oblique angle, holding it in the center of the endoscope operation section can hold it more stably than holding it with a hardness adjusting ring. In order to hold the Olympus colonoscope in the center of the operation section of the endoscope, the hardness adjusting ring must be passed vertically. However, if the hardness adjusting ring is allowed to pass vertically through the portion holding the endoscope, the size of the portion holding the endoscope becomes large, and the endoscope cannot be held stably. Therefore, if the size of the part through which the forceps port is passed vertically is increased so that the hardness adjustment ring can be passed through vertically, when holding the Olympus colonoscope, the hardness adjustment can be performed at the part where the forceps port is passed vertically. The lower part of the endoscope operation part from the top to the bottom, and move the lower end of the endoscope operation part from the part that passes the forceps opening up and down to the part that holds the endoscope, and vertically position the endoscope at the center of the operation part of the endoscope. Alternatively, it can be held at an oblique angle.

Alternatively, the front (end side) hole of the endoscope holding member may be enlarged to allow the hardness adjusting ring to pass vertically, and the rear side (center side) hole may hold the endoscope. In this case, since the forceps mouth is held toward the center side, it is preferable to provide another hole for the forceps mouth (a total of three holes on one side). With this configuration, it may be difficult to hold the device at an oblique angle.

Further, if the scope hanger tip portion can be integrated into one shape, it is not necessary to rotate the tip portion, and a configuration for rotating the tip portion is unnecessary.

In order to make the scope hanger tip end into one shape, it is necessary to make the portion holding the endoscope into a shape capable of stably holding the center of the endoscope operation portion having six types of shapes. Further, in order to make the scope hanger tip end into one shape, it is necessary that the portion through which the forceps port is passed vertically has a size that allows the hardness adjusting ring to pass vertically. If the hardness adjusting ring can be passed up and down, the Olympus colonoscope can be held.

The size of the hole on the back side (center side) allows the hardness adjustment ring to pass vertically, and the hole on the front side (end side) has a shape that can hold 6 types of endoscopes. It can be integrated into one shape. In this case, the diameter of the hole on the back side (center side) is preferably 2.0 mm to 2.5 mm larger than the diameter of the hardness adjusting ring. A diameter of 2.1 mm to 2.4 mm is more preferable, and a diameter of 2.2 mm to 2.3 mm is more preferable. Further, the length of the boundary portion between the hole on the back side (center side) and the hole on the front side (end side) is preferably 1.0 mm to 1.8 mm larger than the diameter of the endoscope operating portion of Olympus. It is more preferably 1.1 mm to 1.6 mm larger, and even more preferably 1.2 mm to 1.4 mm larger.
Specific examples will be described below with reference to the drawings, but the present invention is not limited to these examples.

FIG. 1 is a plan view showing a state where the endoscope operation unit is held on the scope hanger at an oblique angle at the same height as when the doctor holds it while the colonoscope is inserted into the patient. It shows with.

Further, FIG. 2 shows a front view and a side view of a cart in which a scope hanger is installed.

When the endoscope operation section 2 is held by the scope hanger 3 at an oblique angle while the colonoscope 1 is still inserted in the patient, the endoscope operation section 2 is located at a position closest to the position held by the doctor. The scope hanger 3 is installed at the right corner of the front surface of the cart 4 in order to hold (or hold the endoscope operation unit 2 at the position closest to the patient).

In order to hold the endoscope operation section 2 on the scope hanger 3 while the colonoscope 1 is still inserted in the patient, it is at the same height as when the doctor holds it and when the doctor holds it. It is considered that holding the same angle (that is, at an oblique angle) does not apply unreasonable force to the patient and the endoscope. Therefore, it is necessary to make the shape of the distal end portion 5 of the scope hanger such that the endoscope operation portion 2 can be held at an oblique angle.

In addition, during standby (when the endoscope is not inserted into the patient), it is necessary to hold the endoscope operating section 2 vertically. Therefore, the shape of the scope hanger distal end portion 5 is changed to the endoscope operating section. It is also necessary to make the shape capable of holding 2 vertically.

FIG. 3 is a plan view showing a method for determining the shape of the tip of the scope hanger.

The endoscope operation unit 2 of the colonoscope 1 has various shapes depending on the model. Therefore, in order to deal with the shapes of all the endoscope operation parts 2 of the large intestine endoscope 1, six types of large intestine endoscope 1 of each manufacturer (Olympus, Fujifilm, Pentax) were obtained.

Next, wood having a thickness of 2 cm, a length of 10 cm, and a width of 9 cm was shaved, and the shape of the scope hanger tip portion 5 was determined by the following procedure for each model of the colonoscope.
(1) First, the endoscope operation unit 2 is shaped so as to be held vertically (FIG. 3, step 1).
(2) Further, when the endoscope operation section 2 is held vertically, depending on the model, the forceps mouth section (projection at the lower end of the endoscope operation section) must pass vertically through the scope hanger tip section 5. Since it does not happen, such a shape was added (FIG. 3, step 2).
(3) Furthermore, a shape that allows the endoscope operation unit 2 to be held at an oblique angle has been added (FIG. 3, step 3).

While holding the endoscope operation part 2 of the large intestine endoscope 1 of each manufacturer out of the 6 types of the shape of the scope hanger tip 5 determined as described above, showing the similar shape We were able to integrate them into two types.

FIG. 4 shows a perspective view of the distal end portion of the scope hanger, and FIG. 5 shows a plan view, a sectional view, and a bottom view of the distal end portion of the scope hanger.

The endoscope operation section 2 of each manufacturer's colonoscope 1 is oblique to either one of the scope hanger tips 5 (49 mm x 31 mm in the bottom view) and the other (45 mm x 32 mm in the bottom view). It could be held at an angle or vertically.

In FIG. 6, the endoscope operation part 2 of the PENTAX colonoscope 1 is obliquely angled (left) or vertically (right) on one side of the scope hanger tip 5 (49 mm×31 mm in bottom view). It shows the state of holding.

Further, in FIG. 7, the endoscope operation portion 2 of the Olympus colonoscope 1 is attached to the other side of the scope hanger tip portion 5 (45 mm×32 mm in the bottom view) at an oblique angle (left) or vertically. (Right) Shows how they are held.

When the endoscope operation part 2 is held by the scope hanger 3 at an oblique angle while the colonoscope 1 is still inserted in the patient, the height held by the doctor (a height of 125 cm to 130 cm from the floor). That is, since it is necessary to lower the height of the scope hanger tip portion 5 to the height of the upper end of the scope hanger outer cylinder portion 7, the scope hanger inner cylinder portion 6 can be moved up and down.

Further, when the endoscope operation section 2 is held vertically during standby (when the endoscope is not inserted into the patient), the scope hanger tip 5 is provided so that the tip of the endoscope does not contact the floor. Since the scope hanger inner cylinder portion 6 needs to be fixed by increasing the height of the, the scope hanger inner cylinder portion 6 can be fixed to the scope hanger outer cylinder portion 7 with the screw 8.

When the endoscope operation unit 2 is held on the scope hanger 3 at an oblique angle while the colonoscope 1 is still inserted in the patient, the doctor has lowered the height of the scope hanger tip 5. If you set the height of the upper end of the scope hanger outer cylinder part 7 so that it holds the height (the height changes depending on the doctor's physique), the operation becomes simple (where the tip part 5 of the scope hanger goes down). The height of the outer hanger outer cylinder part 7 can be raised and lowered.

When the endoscope operation part 2 is held on the scope hanger 3 at an oblique angle while the colonoscope 1 is still inserted in the patient, each time the insertion depth of the colonoscope 1 or the position of the patient changes. Even if the height of the scope hanger tip portion 5 is not changed, the height held by the doctor, that is, the height of the upper end of the scope hanger outer cylinder portion 7, is sufficient to rotate the scope hanger tip portion 5. Since it was possible to hold the endoscope operation section 2, the scope hanger tip section 5 could be rotated.

In FIG. 8, when the insertion of the colonoscope 1 is shallow, the scope hanger tip 5 is rotated so as to be vertical (left), and when the insertion of the colonoscope 1 is deep, the scope hanger tip is rotated. The figure shows a state in which the part 5 is rotated so as to be inclined (right), and the endoscope operating part 2 is held at the height of the upper end of the scope hanger outer cylinder part 7.

When using a colonoscope, the patient's position is often displaced due to postural changes. In FIG. 9, when the position of the patient is displaced to the head side, the scope hanger tip 5 is rotated so as to be oblique (left), and when the position of the patient is displaced to the foot side, the scope hanger tip is rotated. The figure shows a state in which the section 5 is rotated vertically (right) and the endoscope operating section 2 is held at the height of the upper end of the scope hanger outer cylinder section 7.

Moreover, even when the position of the patient is displaced to the ventral side or the back side, the distal end portion 5 of the scope hanger rotates and the endoscope operating portion 2 can be held at the height of the upper end of the outer cylinder portion 7 of the scope hanger. it can.

As a result of actually using the cart 4 having the scope hanger 3 manufactured as described above, as shown in FIG. 1, the doctor holds the colonoscope 1 while it is still inserted in the patient. It was possible to hold the endoscope operation section 2 on the scope hanger 3 at an oblique angle at the same height as when the operator was in the same position.

10 and 11, the operation method of the scope hanger is shown in plan views.

Here, first, an operation for holding the endoscope operation unit on the scope hanger will be described. (1) The colonoscope 1 held by the doctor's right hand is released (the colonoscope 1 is inserted in the patient so that the right hand can be released), and the endoscope operation held by the left hand Hold the lower end of part 2 with your right hand. Then, the left hand becomes free (Fig. 10, operation 1).
(2) Loosen the screw 8 with the free left hand, lower the scope hanger tip 5 to the height of the upper end of the scope hanger outer cylinder 7 with the left hand, and at the same time rotate the scope hanger tip 5 toward the patient (FIG. 10). , Operation 2).
(3) The endoscope operating section 2 held by the right hand is held by the left hand, and the endoscope operating section 2 is held by the scope hanger tip section 5 at an oblique angle (FIG. 10, operation 3).
(4) In that case, the scope hanger tip 5 is rotated by the holding operation, and when the insertion is shallow, the scope hanger tip 5 is rotated vertically, and when the insertion is deep, the scope hanger tip 5 is rotated. The part 5 is rotated so as to be tilted and set at an appropriate position. Therefore, the screw 8 must not be tightened (Fig. 10, operation 4).

In the above-described operation method, it is not necessary to release the colonoscope 1 held by the doctor and allow the assistant to hold it, and operate it with both hands of the doctor.

Further, when the doctor holds the endoscope operating section 2 held by the scope hanger again, the endoscope operating section 2 can be easily removed and held by the doctor's left hand.

Next, an operation of holding the endoscope operation unit on the scope hanger after using the endoscope will be described.
(1) After using the endoscope, the scope hanger tip portion 5 is lowered to the height of the upper end of the scope hanger outer cylinder portion 7 (Fig. 11, operation 1).
(2) The endoscope operation part 2 held by the left hand is held by the scope hanger tip part 5 at an oblique angle (FIG. 11, operation 2).
(3) While holding the endoscope operation section 2 on the scope hanger tip section 5, the scope hanger tip section 5 is rotated vertically using the lower end of the endoscope operation section 2 and at the same time The mirror operating unit 2 is rotated counterclockwise when viewed from above, and the endoscope operating unit 2 is held vertically by the scope hanger tip portion 5 (Fig. 11, operation 3).
(4) Raise the height of the scope hanger tip 5 with the left hand and support it with the left hand, hang down the colonoscope 1 held with the right hand, and hold the scope hanger tip 5 with the left hand with the right hand. Support and tighten the screw 8 with the left hand (Fig. 11, operation 4).

Further, the scope hanger of the present invention can be used in the conventional manner of vertically holding the endoscope operation portion of the gastroscope.

Also, in a facility where multiple doctors are enrolled, if a doctor does not wish to hold the endoscope operation part of the colonoscope at an oblique angle, the endoscope operation part of the colonoscope should be held vertically. It is possible to select the conventional method of holding the material in place.

About products to be applied By applying a cart equipped with the scope hanger of the present invention, various endoscopes (gastroscope, small intestine endoscope, gall/pancreatic endoscope, laryngoscope endoscope, bronchoscope, A cystoscope, a nephroscope, a hysteroscope, an arthroscope, and a neuroendoscope) can be held in the patient while the endoscope operation unit is held.

At that time, in order to hold various endoscopes at the same angle as when the doctor holds the endoscope, the range of the oblique angle of the distal end of the scope hanger is 20 to 80 degrees.

Actually, since the bronchoscope comes out upward from the mouth of the patient in the supine position, the oblique angle of the tip of the scope hanger makes an angle of 30 degrees, and the nephroscope is Since it comes out downward from the external urethral meatus of the patient in the crushed stone position, the oblique angle of the distal end of the scope hanger is 70 degrees.

The scope hanger of the present invention can be applied to a cleaning sink of an endoscope.

FIG. 12 is a plan view showing the scope hanger attached to the cleaning sink 9 at the same height as when the endoscope technician holds the endoscope operation unit 2 at an oblique angle. It is shown in a sectional view.

When the endoscope 10 is placed on the bottom surface of the cleaning sink 9 and the endoscope operation part 2 is held by the scope hanger distal end part 5 at an oblique angle, the position is closest to the position held by the endoscopist. In order to hold the endoscope operating section 2, a scope hanger was installed on the left edge of the cleaning sink 9.

In order to hold the endoscope 10 on the bottom surface of the cleaning sink 9 and hold the endoscope operation section 2 on the scope hanger tip section 5, the same height and angle as when the endoscope technician holds the endoscope operation section 2 are used. It is considered that the endoscope is not subjected to an unreasonable force when held at an angle (that is, at an oblique angle).

Therefore, the height of the upper end of the scope hanger outer cylinder part 7 is adjusted from the bottom surface of the cleaning sink 9 so that the height of the tip part 5 of the scope hanger becomes the same as when the endoscope technician holds it. The height was set to 15 cm to 18 cm.

Further, the endoscope operation section 2 could be held regardless of the length of the endoscope 10 by simply rotating the scope hanger tip section 5 at the height of the upper end of the scope hanger outer cylinder section 7. Therefore, the tip portion 5 of the scope hanger can be rotated.

In FIG. 13, when the endoscope 10 is long, the scope hanger tip 5 rotates so as to be inclined (left), and when the endoscope 10 is short, the scope hanger tip 5 lies sideways. Thus, it is shown that the endoscope operation unit 2 is held by the scope hanger distal end portion 5 after being rotated (right).

When the cleaning sink 9 manufactured as described above is actually used, the endoscope 10 is placed on the bottom surface of the cleaning sink 9 and held by the endoscopist as shown in FIG. At the same height as at the time, the endoscope operation part 2 could be held by the scope hanger tip part 5 at an oblique angle.

In FIG. 14, a method of operating the scope hanger attached to the cleaning sink 9 is shown in a plan view.

Here, the operation of holding the endoscope operation section on the scope hanger attached to the cleaning sink will be described.
(1) The endoscope 10 and the universal cord section 11 are placed on the bottom surface of the cleaning sink 9, and the endoscope operation section 2 is held by the left hand of the endoscopist (FIG. 14, operation 1).
(2) The endoscope operation section 2 held by the left hand of the endoscopist is held by the scope hanger tip section 5 at an oblique angle. In that case, the scope hanger tip 5 is rotated by the holding operation, and when the endoscope 10 is short, the scope hanger tip 5 is rotated so as to lie, and when the endoscope 10 is long, The scope hanger tip portion 5 is rotated so as to be inclined and set at a proper position (Fig. 14, operation 2).

In addition, when the endoscope technician holds the endoscope operating portion 2 held by the distal end portion 5 of the scope hanger again, the endoscope operating portion 2 should be easily detached and held by the left hand of the endoscopist. You can

By holding the endoscope operation unit 2 on the scope hanger attached to the cleaning sink 9, the hands of the endoscopist are freed, and it is easy to clean the surface of the endoscope and brush the endoscope duct. Become.

In addition, when the scope hanger attached to the cleaning sink 9 holds the endoscope operating portion 2 at an oblique angle, the inlet portions of the endoscope conduits are all directed upward, so that the endoscope conduit Brushing becomes easier.

Further, since the scope hanger distal end portion 5 of the present invention can hold the endoscope operation portion 2 of various endoscopes of each manufacturer, various endoscopes of each manufacturer are washed in the same sink. be able to.

In addition, if the scope hanger of the present invention is attached to the cleaning/disinfecting apparatus, the endoscope operation section can be fixed in the disinfecting tank, so that the hands of the endoscopist are free and the tube to the endoscope conduit is free. There is a convenience that makes it easier to operate such as attaching and detaching.

Also, by attaching the scope hanger of the present invention to a stand, various endoscopes of each manufacturer can be held at one place, so that a place to put a disinfected endoscope can be determined, If the mirror is placed in that place, it can be recognized that it has been sterilized, so there is the convenience of being able to prevent medical accidents where the unsterilized endoscope is mistakenly used.

The scope hanger of the present invention can be applied to an endoscope storage cabinet.

FIG. 15 is a front view showing a state in which the endoscope operation section 2 is held vertically by the scope hanger attached to the endoscope storage 12.

First, as shown in FIG. 15, the scope hangers were mounted side by side in the endoscope storage 12. In addition, the distal end portion 5 of the scope hanger is adapted to be rotated in order to hold the endoscope operation portion 2 of various endoscopes of each manufacturer.

When the endoscope storage 12 manufactured as described above was actually used, various endoscopes of each manufacturer could be stored in the same place.

Therefore, in the endoscope storage 12 to which the scope hanger of the present invention is applied, the endoscopes can be stored side by side in the order of disinfection. By arranging the endoscopes in the order in which they have been disinfected, it can be recognized that the endoscopes have been disinfected, so that it is possible to prevent medical accidents where the undisinfected endoscopes are mistakenly used.

As described above, by applying the scope hanger of the present invention to equipment such as a cleaning sink, a cleaning/disinfecting apparatus, a stand, and an endoscope storage cabinet, while more reliably complying with various endoscope cleaning/disinfecting guidelines. It is possible to clean and disinfect the endoscope.

INDUSTRIAL APPLICABILITY The present invention can be used in the medical device manufacturing industry or inspection business.

1 colonoscope 2 endoscope operation part 3 scope hanger 4 cart 5 scope hanger tip 6 scope hanger inner cylinder 7 scope hanger outer cylinder 8 screw
9 Washing sink 10 Endoscope 11 Universal cord section 12 Endoscope storage

Claims (17)

When viewed from the plan view or bottom view, polygonal or have the shape of an ellipse (including a perfect circle),
Has at least two holes that can hold an endoscope,
The first hole can hold the endoscope vertically,
The second hole can hold the endoscope at an oblique angle with respect to the horizontal ,
An endoscope holding member characterized by the above . Thickness 1 cm to 5 cm, height 8 cm to 15 cm, width 20 cm to 30 cm, rectangular parallelepiped, thickness 1 cm to 5 cm, major axis 20 cm to 30 cm, minor diameter 8 cm to 15 cm, elliptic cylinder or thickness 1 cm to 5 cm, length 8 cm to 15 cm, width characterized in that it has the shape of a polygonal pillar or elliptic cylinder the size of 20Cm～30cm, endoscope holding member according to claim 1. The endoscope holding member according to any one of claims 1 or 2 which is 20 to 80 degrees relative to the horizontal is the oblique angle. The endoscope holding member according to any one of claims 1 to third hole capable of holding said endoscope is 4 or more 24 or less. The change in the insertion length of the endoscope or the position of the patient can be dealt with by simply rotating the support unit at the height of the upper end of the support unit, which has been set in advance by the doctor. the endoscope holding member according to any one of 1-4. Characterized in that to hold a plurality of different types of endoscopes, endoscope holding member according to any one of claims 1-5. A holding member according to any one of claims 1 to 6
A cart having a support portion that supports a holding member rotatably in a horizontal direction and a support body that is vertically movable, and means for fixing the support portion. Cart according to claim 7 having two or more holding member according to any one of claims 1-6. 8. A cart according to claim 5 or 7 having the support in the right corner near the patient . The method comprising the steps of inserting the endoscope into the holding member by using the cart any of claims 7 to 9, the step of holding the endoscope diagonally or vertically relative to the horizontal, the. Washing sink, washing and disinfecting apparatus, a stand or endoscope vault having a holding member according to any one of claims 1-6. The cleaning sink, cleaning/disinfecting apparatus, stand or endoscope storage of claim 11 , wherein the holding member is rotatably supported. A step of inserting the endoscope into the holding member using the cleaning sink, the cleaning/disinfecting apparatus, the stand or the endoscope storage according to claim 11 or 12, and the endoscope being obliquely or vertically based on the horizontal. And a step of holding. 14. The method of claim 13 , wherein the endoscope is a plurality of different types of endoscopes. Using the endoscope holding member according to claim 1 to 6, a method for stably holding the endoscope. Hardness adjustment ring, through a vertically central portion of the hole of the endoscope holding member, characterized in that to hold to move the endoscope into the hole subsequent end side, The method of claim 15. The method according to claim 15 or 16 , characterized in that, when the endoscope is held at an oblique angle with respect to the horizontal, the endoscope is supported at one point on the lower surface and two points on the upper side surface.

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